Who am I? Who am I? Education: MSc (Epidemiology), The Aga Khan University , 2001. Thesis: Care and feeding practices and their association with stunting among young children residing in Karachi-s squatter settlements BBA (Management), The College of William and Mary , Williamsburg, VA, USA, 1989 Research interest: Nutritional and behavioral epidemiology, methodological issues in dietary assessment methods, household food security and gender-related issues, care and feeding practices, management of data and questionnaire designing

Learning Objectives Learning Objectives  To understand the importance of establishing a cervical cancer screening programme  To be familiar with the WHO recommended managerial factors to consider prior to setting up a screening programme  To understand the concept of “downstaging” in terms of cervical cancer screening

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Performance Objectives Performance Objectives  Know the managerial issues to consider when setting up a cervical screening program  Understand the concept of downstaging and possible approaches of downstaging cervical cancer

Introduction Introduction  Cervical cancer is the 2 nd most common cancer among women globally  Higher cervical cancer mortality in developing countries due to lack of effective screening programs

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Introduction Introduction  High proportion of women are diagnosed at an advanced stage due to: – Lack of knowledge among women of the relevance of symptoms – Fatalistic attitude towards cancer and possibility of being cured – Lack of availability of health care in rural areas – Low priority of women’s health issues

Managerial factors to consider when Managerial factors to consider when setting up a screening programme setting up a screening programme – Formulation of

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